FDA Adverse Event Injury Summary report: N

SPECTRA WAVEWRITER?

MDR report key: 23386419 · Received October 24, 2025

Report

Report Number
3006630150-2025-09578
Event Type
Injury
Date Received
October 24, 2025
Date of Event
September 29, 2025
Report Date
November 18, 2025
Manufacturer
BOSTON SCIENTIFIC NEUROMODULATION CORPORATION
Product Code
LGW
UDI-DI
08714729951254
PMA / PMN Number
P030017
Adverse Event
Yes
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
PHYSICIAN
Health Professional
Yes

Narratives

Additional Manufacturer Narrative · 0

B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT. ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS; UPN: M365SC2218500; MODEL: SC-2218-50; SERIAL: (B)(6); BATCH: 5113632; UDI: (B)(4).

Additional Manufacturer Narrative · 0

B3: APPROXIMATED BASED ON THE DATE THE MANUFACTURER BECAME AWARE OF THE EVENT ADDITIONAL SUSPECT MEDICAL DEVICE COMPONENTS INVOLVED IN THE EVENT: PRODUCT FAMILY: SCS-LINEAR LEADS UPN: M365SC2218500 MODEL: SC-2218-50 SERIAL: (B)(6) BATCH: 5113632 UDI: (B)(4).

Description of Event or Problem · 0

IT WAS REPORTED THAT THESE SPINAL CORD STIMULATION (SCS) DEVICES WERE REVISED DUE TO AN UNKNOWN REASON. THE LOCATION OF THE DEVICES IS UNKNOWN. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED. ADDITIONAL INFORMATION WAS RECEIVED STATING THAT THE SCS IMPLANTABLE PULSE GENERATOR (IPG) WAS ELECTIVELY REPLACED DUE TO MAGNETIC RESONANCE IMAGING (MRI) COMPATIBILITY. THE IPG WILL NOT BE RETURNED FOR ANALYSIS.

Description of Event or Problem · 0

IT WAS REPORTED THAT THESE SPINAL CORD STIMULATION (SCS) DEVICES WERE REVISED DUE TO AN UNKNOWN REASON. THE LOCATION OF THE DEVICES IS UNKNOWN. NO ADDITIONAL ADVERSE PATIENT EFFECTS WERE REPORTED.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1550962 SPECTRA WAVEWRITER? STIMULATOR, SPINAL-CORD, TOTALLY IMPLANTED FOR PAIN RELIEF LGW BOSTON SCIENTIFIC NEUROMODULATION CORPORATION SC-1160 347226 08714729951254

Patients

Seq Age Sex Outcome Treatment
1 88 YR Male Required Intervention